Active NPI
Paul D Roesler, CRNA
- Certified Registered Nurse Anesthetist
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 44017
- Practice address
- 1011 14TH Ave NW
Ardmore, OK 73401-1828 - Phone
- (918) 558-1920
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R0044017 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 44017 | OK | Primary |
Addresses
Primary practice location
1011 14TH Ave NW
Ardmore, OK 73401-1828
Mailing address
251 Rogers Cir
Durant, OK 74701-1728
Phone (580) 916-2666
Other practice location 1
1801 W 3rd St
Elk City, OK 73644-5145
Phone (580) 225-5403
Other practice location 2
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-0612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, WI
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0044017 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Surgical Hospital of Oklahoma LLC | Current | Accepting new patients | |
| Choctaw County City of Hugo Hospital Authority | Current | Accepting new patients | |
| Anesthesia Management Solutions of Oklahoma PLLC | Anesthesiology | Current | Accepting new patients |
| Western Oklahoma Anesthesia Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
1901 W 3rd St
Ste C
Elk City, OK 73644
Phone (580) 225-9222
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500
100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
#A
Marshfield, WI 54449
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Hugo, OK
- NPI 1881689289
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1033229240
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1003375650
OK
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1346263118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 ROGERS CIR",
"city": "DURANT",
"state": "OK",
"postal_code": "747011728",
"telephone_number": "580-916-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 14TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011828",
"telephone_number": "918-558-1920"
}
],
"practiceLocations": [
{
"address_1": "1801 W 3rd St",
"address_purpose": "LOCATION",
"city": "Elk City",
"state": "OK",
"postal_code": "736445145",
"country_code": "US",
"telephone_number": "580-225-5403",
"fax_number": "580-225-5423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6161 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741361902",
"country_code": "US",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROESLER",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "R0044017",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "44017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.